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Vol. 5, Issue 15

Find Solutions & Strategies                                         April 14, 2014

Prescription Drug Trends for Workers' Comp
   
New report includes some hard pills to swallow
In This Issue
-PRESCRIPTION DRUGS
-CALIF. WC INSURANCE
-LARSON'S SPOTLIGHT: Light Duty, Safe Work Environment, Self-Inflicted Injuries, Traveling Employee
-DRUG DIVERSION, PSYCH CLAIM, SETTLEMENT, DUELING IME's
-NATIONAL & STATE NEWS
-eNEWSLETTER ARCHIVES
A Note From the Editor
 
Dear Workers' Comp Community: 
  
This week's issue continues our coverage of prescription drugs and workers' comp.
  
Join our community today. Sign up here for our free eNewsletter. 
  
Robin E. Kobayashi, JD
LexisNexis Legal & Professional Operations

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"Monitoring the constant wave of legislative activity across this nation is one thing. Making it clear and understandable is quite another. Lexis has done an excellent job of both with the 'Workers' Compensation Emerging Issues Analysis'. Their choice of local experts is superb, and they provide both clear recap and commentary, giving clarity to what was, legislatively, a very tumultuous year."

 

-Robert H. Wilson, President & CEO, WorkersCompensation.com, LLC

 
prescription drug trends for 2013 include hard pills to swallow

By John Stahl, Esq.

 

Stahl, JohnThe recently released research from pharmacy benefit manager The Express Scripts Lab in the "2013 Workers' Compensation Drug Trend Report" is equivalent to the State of the Union regarding prescription drug benefits for injured workers. These conclusions reflect data from workers' compensation payers which are Express Scripts clients. The featured takeaways included: The Top 10 therapy classes of drugs constituted nearly 84 percent of the total spent on prescription drugs in workers' compensation in 2013; The average annual prescription drug cost per injured worker in 2013 was slightly over $1,603...read more.

will calif. rank #1 in nation for highest workers' comp premium rates?

By John Stahl, Esq.

 

Two years ago California ranked third in the nation in terms of the highest workers' comp premium rates. In a webinar on April 10, 2014, WCIRB observed that, given the rate activity in the state from 2012 to 2013 and most likely continuing into 2014, California could have the highest-or close to the highest-workers' comp premium rates in the nation when the 2014 Oregon workers' compensation premium rate ranking study is completed later this year. To understand what, in part, is driving rates, see the "WCIRB Report on December 31, 2013 Insurer Experience" released on April 4, 2014 that includes...read more.

LARSON'S SPOTLIGHT ON RECENT CASES

Thomas A. Robinson, J.D., our Feature National Columnist, is a leading commentator and expert on the law of workers' compensation.

 

Tom Robinson thumbnailVirginia: Light-Duty Employee Entitled to Disability Benefits During Furlough Periods. Where a construction worker returned to light duty after a work-related accident but due to "the vagaries of the construction industry," his employer furloughed virtually all its employees for undefined periods of time, with the...read more.
 

Federal: Breach of Contract Claim Against Special Employer for Failure to Provide Safe Work Environment Is Barred By Exclusiveness. That an employer referred in its Policies and Procedures Handbook to its commitment to provide a safe and health work place for its employees...read more.

 

Mississippi: Evidence That Worker Was Subject of Murder Investigation Insufficient to Establish His Injuries Were Self-Inflicted. Evidence that an electrical line worker was under investigation for murder, that law enforcement officials had obtained a DNA sample from him...read more.

 

Washington: Traveling Employee Rule Doesn't Save Drunken Employee's Dune Buggy Claim. A claims adjuster who had been assigned remote duties in connection with the devastation to Galveston Island caused by Hurricane Ike and who drank one evening...read more.

lexisnexis legal newsroom blogs

CassandraFlyin' High...And the Role of Utilization Review in a Delaware Drug Diversion Case, by Cassandra Roberts, Esq. Read it.

    

 

 

 

 

Martin KlugMissouri: No Psych Claim for Worker Investigated for Threats of Mayhem, by Martin Klug, Esq. Read it.

 

 

 

  

 

Martin KlugMissouri: Employer Stuck With Its Settlement Offer After Worker Dies, by Martin Klug, Esq. Read it. 

 

 

 

 

 

Keith KasperVermont Workers' Compensation Update: January to March 2014, by Keith Kasper, Esq. Read it.

national & state news

National & State-by-State News on the Free Web:   

 

Insurance Expert Predicts Growth Drivers for Workers Comp in a Sluggish Economy.

NCCI Posts 2014 Workers Comp Issues Report.

Temporary Worker Safety Becomes Hot Issue in 2014.

Expert Busts Myths of "Gray Market" Contingent/Temp Workers.

Safety Net Favors Middle Classes Over Poor.

Bipartisan Agreement Reached to Reauthorize TRIA.

CMS Takes Steps for Medicare Data Transparency.

AK: HB 370 Clean Drug Testing to Prevent Drug Diversion Unlikely to Become Law.

CA: DWC Announces Changes to PQME Request Process to Comply With Navarro.

CA: Cal Chamber Announces 2014 Legislative "Job Killer" Bills.

CA: DWC Posts Proposes Opioid Guidelines to Treat Injured Workers.

CA: DWC Forum on Opioid Guidelines Closes April 21.

CA: Supreme Court Grants Review in Police Officer Enhanced WC Benefits Case.

CA: DWC Issues 15-Day Notice re Proposed HOPD/ASC Fee Schedule Changes.

CO: Legislative Hearing Held on Police PTSD Bill.

CO: HB 1343 Would Cover PTSD for Police Officers.

CO: Pinnacol Lists WC, Insurance Bills to Support, Oppose, or Watch.

DE: WC Task Force Posts Audio of April 4th Meeting.

FL: DWC Proposes Rule Changes re Notice of Election of Exemption.

GA: SWCB to Adopt ICD-10 to Coincide With CMS Implementation Date.

KY: Governor Signs SB 124 Use of Cannabidiol for Medical Treatment.

KY: A.M. Best Gives Excellent Rating to KEMI.

ME: Employer Rep Warns of Possible Disruption to 2012 Workers Comp Fix.

MA: Workers Comp Advisory Council Posts Agenda for 4/9 Meeting.

MT: Workers' Comp Judge Among Finalist for Seat on High Court.

NE: High Court Upholds PTSD, Chemical Dependency Claims for Shot Store Manager.

NY: WCB Posts Newly Authorized Health Care Providers List.

NY: Governor Signs Legislation to Identify Best Practices for Safe Patient Handling.

OH: Supreme Court Hears Oral Argument in Traveling Nurse Case.

OR: Governor Signs HB 4104 Interim Medical Benefits Prior to Acceptance/Denial of Claim.

PA: HB 1846 Regulation of Physician Dispensing Passed by House.

RI: Business Groups Fight Independent Contractor Bill.

SC: WCC Seeks Director of Administration.

SC: WCC Posts Electronic Employee Notice Poster.

TX: Commissioner: Closed Pharmacy Formulary Successfully Reduced Opioid Prescriptions.

TX: DWC Delays Workers Comp Transition to ICD-10 Code Sets.

VA: WCC Posts 2013 Annual Report.

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ENEWSLETTER ARCHIVES

ArchivesTake a deep dive into our past eNewsletters for 2014 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

April 7, 2014: Health Behaviors Contribute to Socioeconomic Differences in Mortality

March 31, 2014: Hurricane Obamacare

March 24, 2014: Affordable Care Act Impact on Workers' Compensation

March 17, 2014: Medical Costs Impact Workers' Comp Less Than Widely Believed.

March 10, 2014: Carpal Tunnel Syndrome.

March 3, 2014: Bariatric Surgery: Is It  a Workers' Compensation Medical Benefit

ACCESS 2010-2014 ARCHIVES AND ARTICLES LIST HERE.

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